Healthcare Payer Solution Market Was Worth USD 41.8 Billion in 2027, with a 10.2% CAGR
The report analyzes and forecasts the Healthcare Payer Solution Market at global and regional levels. The market has been forecast based on volume (Tons) and value (US$ Mn) from 2022 to 2030. The study includes drivers and restraints of the global market. It covers the impact of these drivers and restraints on the demand during the forecast period. The report also highlights opportunities in the market at the global level.
The report comprises a detailed value chain analysis, which provides a comprehensive view of the global Healthcare Payer Solution Market. The Porter’s Five Forces model has also been included to help understand the competitive landscape of the market. The study encompasses market attractiveness analysis, wherein various applications have been benchmarked based on their market size, growth rate, and general attractiveness.
The study provides a decisive view of the Healthcare Payer Solution Market by segmenting it in terms of form and application. The segment has been analyzed based on the present and future trends. Regional segmentation includes the current and projected demand in North America, Europe, Asia Pacific, Latin America, and Middle East & Africa.
The report provides size (in terms of volume and value) of Healthcare Payer Solution Market for the base year 2020 and the forecast between 2021 and 2028. Market numbers have been estimated based on form and application. Market size and forecast for each application segment have been provided for the global and regional market.
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In-depth interviews and discussions were conducted with several key market participants and opinion leaders to compile the research report. Primary research represents a bulk of research efforts, supplemented by extensive secondary research. Annual reports, press releases, and relevant documents of key players operating in various application areas have been reviewed for competition analysis and market understanding. Secondary research also includes recent trends, technical writing, Internet sources, and statistical data from government websites, trade associations, and agencies. These have proved to be reliable, effective, and successful approaches for obtaining precise market data, capturing market participants’ insights, and recognizing business opportunities.
Market Players as below:
The players profiled in the report are McKesson Corporation, HMS Holdings Corp, International Business Machines Corporation, Change Healthcare, Inc., Accenture plc, Cognizant Technology Solutions Corporation, Hinduja Global Solutions Limited, UnitedHealth Group Incorporated, Inovalon Holdings, Inc., and Wipro Limited.
The major market segments of Healthcare Payer Solution Market are as below:
Market By Service
Business Process Outsourcing Services
Information Technology Outsourcing Services
Knowledge Process Outsourcing Services
Market By Application
Pharmacy Audit & Analysis Systems
Claims Management Services
Fraud Management Services
Computer-assisted Coding (CAC) Systems
Member Eligibility Management Services
Provider Network Management Services
Others
Market By End Use
Private Provider
Public Provider
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Table Of Contents:
Chapter 1. Industry Overview of Healthcare Payer Solution
1.1 Definition and Scope
1.1.1 Definition of Healthcare Payer Solution
1.1.2 Market Segmentation
1.1.3 Years Considered for the Study
1.1.4 Assumptions and Acronyms Used
1.1.4.1 Market Assumptions and Market Forecast
1.1.4.2 Acronyms Used In Global Healthcare Payer Solution Market
1.2 Summary
1.2.1 Executive Summery
1.2.2 Healthcare Payer Solution Market By Service
1.2.3 Global Healthcare Payer Solution Market By Application
1.2.4 Global Healthcare Payer Solution Market By End Use
1.2.5 Global Healthcare Payer Solution Market by Regions
Chapter 2. Research Approach
2.1 Methodology
2.1.1 Research Programs/By End Use
2.1.2 Market Size Estimation
2.1.3 Market Breakdown and Data Triangulation
2.2 Data Source
2.2.1 Secondary Sources
2.2.2 Primary Sources
Chapter 3. Market Dynamics and Competition Analysis
3.1 Market Drivers
3.1.1 Driver 1
3.1.2 Driver 2
3.2 Restraints and Challenges
3.2.1 Restraint 1
3.2.2 Restraint 2
3.3 Growth Opportunities
3.3.1 Opportunity 1
3.3.2 Opportunity 2
3.4 Porter’s Five Forces Analysis
3.4.1 Bargaining Power of Suppliers
3.4.2 Bargaining Power of Buyers
3.4.3 Threat of Substitute
3.4.4 Threat of New Entrants
3.4.5 Degree of Competition
3.5 Value Chain Analysis
3.6 Regulatory Compliance
3.7 Competitive Landscape, 2019
3.7.1 Player Positioning Analysis
3.7.2 Key Strategies Adopted By Leading Players
Chapter 4. Healthcare Payer Solution Market By Service
4.1 Introduction
4.2 Global Healthcare Payer Solution Revenue (US$ Mn) by Service
4.2.1 Global Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By Service, 2016 – 2027
4.2.2 Business Process Outsourcing Services
4.2.2.1 Business Process Outsourcing Services Market Revenue (US$ Mn) and Growth Rate (%), 2016 – 2027
4.2.3 Information Technology Outsourcing Services
4.2.3.1 Information Technology Outsourcing Services Market Revenue (US$ Mn) and Growth Rate (%), 2016 – 2027
4.2.4 Knowledge Process Outsourcing Services
4.2.4.1 Knowledge Process Outsourcing Services Market Revenue (US$ Mn) and Growth Rate (%), 2016 – 2027
4.3 Market Attractive Analysis By Service 2019
Chapter 5. Healthcare Payer Solution Market By Application
5.1 Introduction
5.2 Global Healthcare Payer Solution Revenue (US$ Mn) by Application
5.2.1 Global Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By Application, 2016 – 2027
5.2.2 Pharmacy Audit & Analysis Systems
5.2.2.1 Pharmacy Audit & Analysis Systems Market Revenue (US$ Mn) and Growth Rate (%), 2016 – 2027
5.2.3 Claims Management Services
5.2.3.1 Claims Management Services Market Revenue (US$ Mn) and Growth Rate (%), 2016 – 2027
5.2.4 Fraud Management Services
5.2.4.1 Fraud Management Services Market Revenue (US$ Mn) and Growth Rate (%), 2016 – 2027
5.2.5 Computer-assisted Coding (CAC) Systems
5.2.5.1 Computer-assisted Coding (CAC) Systems Market Revenue (US$ Mn) and Growth Rate (%), 2016 – 2027
5.2.6 Member Eligibility Management Services
5.2.6.1 Member Eligibility Management Services Market Revenue (US$ Mn) and Growth Rate (%), 2016 – 2027
5.2.7 Provider Network Management Services
5.2.7.1 Provider Network Management Services Market Revenue (US$ Mn) and Growth Rate (%), 2016 – 2027
5.2.8 Others
5.2.8.1 Others Market Revenue (US$ Mn) and Growth Rate (%), 2016 – 2027
5.3 Market Attractive Analysis By Application 2019
Chapter 6. Healthcare Payer Solution Market By End Use
6.1 Introduction
6.2 Global Healthcare Payer Solution Revenue (US$ Mn) by End Use
6.2.1 Global Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By End Use, 2016 – 2027
6.2.2 Private Provider
6.2.2.1 Private Provider Market Revenue (US$ Mn) and Growth Rate (%), 2016 – 2027
6.2.3 Public Provider
6.2.3.1 Public Provider Market Revenue (US$ Mn) and Growth Rate (%), 2016 – 2027
6.3 Market Attractive Analysis By End Use 2019
Chapter 7. North America Healthcare Payer Solution Market By Country
7.1 North America Healthcare Payer Solution Market Overview
7.2 U.S.
7.2.1 U.S. Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By Service, 2016 – 2027
7.2.2 U.S. Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By Application, 2016 – 2027
7.2.3 U.S. Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By End Use, 2016 – 2027
7.3 Canada
7.3.1 Canada Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By Service, 2016 – 2027
7.3.2 Canada Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By Application, 2016 – 2027
7.3.3 Canada Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By End Use, 2016 – 2027
7.4 North America PEST Analysis
Chapter 8. Europe Healthcare Payer Solution Market By Country
8.1 Europe Healthcare Payer Solution Market Key Overview
8.2 UK
8.2.1 UK Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By Service, 2016 – 2027
8.2.2 UK Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By Application, 2016 – 2027
8.2.3 UK Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By End Use, 2016 – 2027
8.3 Germany
8.3.1 Germany Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By Service, 2016 – 2027
8.3.2 Germany Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By Application, 2016 – 2027
8.3.3 Germany Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By End Use, 2016 – 2027
8.4 France
8.4.1 France Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By Service, 2016 – 2027
8.4.2 France Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By Application, 2016 – 2027
8.4.3 France Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By End Use, 2016 – 2027
8.5 Spain
8.5.1 Spain Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By Service, 2016 – 2027
8.5.2 Spain Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By Application, 2016 – 2027
8.5.3 Spain Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By End Use, 2016 – 2027
8.6 Rest of Europe
8.6.1 Rest of Europe Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By Service, 2016 – 2027
8.6.2 Rest of Europe Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By Application, 2016 – 2027
8.6.3 Rest of Europe Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By End Use, 2016 – 2027
8.7 Europe PEST Analysis
Chapter 9. Asia-Pacific Healthcare Payer Solution Market By Country
9.1 Asia Pacific Healthcare Payer Solution Market Overview
9.2 China
9.2.1 China Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By Service, 2016 – 2027
9.2.2 China Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By Application, 2016 – 2027
9.2.3 China Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By End Use, 2016 – 2027
9.3 Japan
9.3.1 Japan Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By Service, 2016 – 2027
9.3.2 Japan Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By Application, 2016 – 2027
9.3.3 Japan Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By End Use, 2016 – 2027
9.4 India
9.4.1 India Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By Service, 2016 – 2027
9.4.2 India Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By Application, 2016 – 2027
9.4.3 India Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By End Use, 2016 – 2027
9.5 Australia
9.5.1 Australia Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By Service, 2016 – 2027
9.5.2 Australia Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By Application, 2016 – 2027
9.5.3 Australia Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By End Use, 2016 – 2027
9.6 South Korea
9.6.1 South Korea Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By Service, 2016 – 2027
9.6.2 South Korea Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By Application, 2016 – 2027
9.6.3 South Korea Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By End Use, 2016 – 2027
9.7 Rest of Asia-Pacific
9.7.1 Rest of Asia Pacific Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By Service, 2016 – 2027
9.7.2 Rest of Asia Pacific Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By Application, 2016 – 2027
9.7.3 Rest of Asia Pacific Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By End Use, 2016 – 2027
9.8 Asia Pacific PEST Analysis
Chapter 10. Latin America Healthcare Payer Solution Market By Country
10.1 Latin America Healthcare Payer Solution Market Overview
10.2 Brazil
10.2.1 Brazil Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By Service, 2016 – 2027
10.2.2 Brazil Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By Application, 2016 – 2027
10.2.3 Brazil Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By End Use, 2016 – 2027
10.3 Mexico
10.3.1 Mexico Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By Service, 2016 – 2027
10.3.2 Mexico Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By Application, 2016 – 2027
10.3.3 Mexico Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By End Use, 2016 – 2027
10.4 Rest of Latin America
10.4.1 Rest of Latin America Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By Service, 2016 – 2027
10.4.2 Rest of Latin America Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By Application, 2016 – 2027
10.4.3 Rest of Latin America Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By End Use, 2016 – 2027
10.5 Latin America PEST Analysis
Chapter 11. Middle East & Africa Healthcare Payer Solution Market By Country
11.1 Middle East & Africa Healthcare Payer Solution Market Overview
11.2 Saudi Arabia
11.2.1 Saudi Arabia Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By Service, 2016 – 2027
11.2.2 Saudi Arabia Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By Application, 2016 – 2027
11.2.3 Saudi Arabia Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By End Use, 2016 – 2027
11.3 UAE
11.3.1 UAE Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By Service, 2016 – 2027
11.3.2 UAE Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By Application, 2016 – 2027
11.3.3 UAE Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By End Use, 2016 – 2027
11.4 Rest of Middle East & Africa
11.4.1 Rest of Middle East & Africa Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By Service, 2016 – 2027
11.4.2 Rest of Middle East & Africa Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By Application, 2016 – 2027
11.4.3 Rest of Middle East & Africa Healthcare Payer Solution Market Revenue (US$ Mn) and Forecast By End Use, 2016 – 2027
11.5 Middle East & Africa PEST Analysis
Chapter 12. Player Analysis of Healthcare Payer Solution
12.1 Global Healthcare Payer Solution Market Company Share Analysis
12.2 Competition Matrix
12.2.1 Competitive Benchmarking of key players by price, presence, market share, and R&D investment
12.2.2 New Product Launches and Product Enhancements
12.2.3 Mergers And Acquisition In Global Stroke Management Market
12.2.4 Partnership, Joint Ventures and Strategic Alliances/ Sales Agreements
Chapter 13. Company Profile
13.1 McKesson Corporation
13.1.1 Company Snapshot
13.1.2 Business Overview
13.1.3 Financial Overview
13.1.3.1 Revenue (US$ Mn), 2019
13.1.3.2 McKesson Corporation 2019 Healthcare Payer Solution Business Regional Distribution
13.1.4 Product/Service and Specifications
13.1.5 Manufacturing Plant Footprint Analysis
13.2 HMS Holdings Corp
13.3 International Business Machines Corporation
13.4 Change Healthcare, Inc.
13.5 Accenture plc
13.6 Cognizant Technology Solutions Corporation
13.7 Hinduja Global Solutions Limited
13.8 UnitedHealth Group Incorporated
13.9 Inovalon Holdings, Inc.
13.10 Wipro Limited
13.11 Others
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